QUESTION 8 Managed care organizations are limited in the types of plan it may sell....
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QUESTION 8 Managed care organizations are limited in the types of plan it may sell. True False QUESTION 9 _for medical expenses themselves. Self-insured employers bear the financial a. Mandates b. Premium C. Risk d. Appropriation QUESTION 10 Underwriters are charged with using the cost estimates prepared by the finance and actuarial services departments to calculate the actual premium rates that the MCO will charge customers. The following are the most types of rating used by MCO: a. Standard community rating. Adjusted community rating. Experience rating b. Standard community rating. Experience community rating, Community rating c. Standard employer rating, Adjusted community rating, Experience rating d. Standard model rating, adjusted community rating. Experience rating OC QUESTION 11 The Medicare and Medicaid "noncommercial market" segments are considered by MCO as an opportunity for market growth. True False
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